Individual
MR. ELIAS CABRAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3834 W CORNELIA AVE APT 2, CHICAGO, IL 60618-5004
(616) 450-4059
Mailing address
3834 W CORNELIA AVE APT 2, CHICAGO, IL 60618-5004
(616) 450-4059
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008005
IL
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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